I just want to point out that here in Ontario there are some RPN's working with a BScN degree. You get 3 tries to pass the registration exam. For prospective RN's, if they fail 3 times, they can write the RPN registration exam. I have worked with a few RPNs in that situation. I am an RPN and our scope is pretty wide. We do a lot but our patient assignment is SUPPOSED to be for stable patients with predictable outcomes... which is the major difference. I take blood, place foleys, do ekg, initiate and maintain IV (although i cannot push meds... we usually opt for a minibag if no RN is available to push), splints and casts, assist with minor surgeries (outpatient surgeries), including sterile tray prep and "circulating" role (ie for vasectomies, para/thoracentisis, biopsies, LEEPs, bone marrow bx, etc). For me, i chose to be an RPN because i love doing all of those skills but do not want the responsibilities that comes with more critically ill patients. I love my RPN role :)